TNA Facial Pain Network

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TNA Florida Regional Meeting

Hilton Garden Inn Gainesville • March 28, 2015 • 10:00AM – 3:00 PM

The purpose of the TNA Conference Program is to provide education and support to patients suffering with neuropathic face pain, including trigeminal neuralgia.  To insure patients and caregivers understand this disease and what treatment modalities are available.

Program Agenda:

10 am - Dr. Margaret Dennis

What is TN? Why is it so difficult to diagnose? The different types of TN, the Dental connection and available treatments.

 11:30 am - Dr. Al Comey

Upper Cervical Chiropractic and neurological considerations concerning trigeminal neuralgia. How upper cervical chiropractic care can be an effective treatment in people with trigeminal neuralgia based on the type of pain the patient has been diagnosed with.

 12:30 pm - Complimentary Lunch

 1:30 pm - Dr. Melvin Field

Types of face pain and various forms of TN.  Neurosurgical treatments for TN; trigeminal rhizotomy, radiosurgery, MVD, endoscopic MVD and effective medications.

The Florida Regional meeting is sponsored by the TNA National Office, offered to patients located in the southeast region. The meeting will be held at the Hilton Garden Inn Gainesville, 4075 SW 33rd Place, Gainesville, FL.

There is no fee for this event, but there are a limited number of seats.  Advanced registration is required call 1-800-923-3608 or email  

A video camera will be available for patients who would like to participate in the TNA Video Project

“Tell Us What Triggers Your Facial Pain”


The TNA Video Project is a collaboration between TN patients and The Facial Pain Association to raise awareness of facial pain syndromes and to celebrate the Association’s 25 years of patient support and advocacy. Join the Project and let the world hear from you, how this horrific pain can be triggered by something or some action that most people take for granted.

To view TheTNA Video Project site go to:

Classification of Neuropathic Facial Pain

·       Classic Trigeminal Neuralgia, type 1, (TN1): (also known as tic douloureux) facial pain of spontaneous onset with greater than 50% limited to the duration of an episode of pain (temporary pain).  TN is often caused by loss of or damage to the nerve’s protective coating, (myelin). The most widely accepted view is that myelin damage results from irritation of the nerve, usually a blood vessel that causes the nerve to be compressed.


·     Trigeminal Neuralgia, Type 2, (TN2): facial pain of spontaneous onset with greater than 50% as a constant pain.


·     Secondary Symptomatic Trigeminal Neuralgia (STN): Pain resulting from multiple sclerosis.


·     Post- Herpetic Neuralgia (PHN): pain resulting from herpes zoster outbreak (SHINGLES) along the trigeminal nerve.


·     Trigeminal Neuropathic Pain (TNP): facial pain resulting from unintentional injury to the trigeminal system from facial trauma, oral surgery, ear, nose and throat (ENT) surgery, root injury from posterior fossa or skull base surgery, stroke, etc. This pain is described as dull, burning, or boring and is usually constant because the injured nerve spontaneously sends impulses to the brain. The injured nerve is also hypersensitive to stimulation, so attacks of sharp pain can also be present. The area which is sensitive to touch and triggers these sharp attacks is the same area where the pain occurs. Numbness and tingling are also signs of a damaged nerve.


Trigeminal Deafferentation Pain (TDP): facial pain in a region of trigeminal numbness resulting from intentional injury to the trigeminal system from neurectomy, gangliolsys, rhizotomy, nucleotomy, tractotomy, or other denervating procedures. Despite the loss of sensation, constant pain is felt in the numb area(s), which varies in intensity and can include sensations of burning, crawling, tingling, boring, stinging, and/or unpleasant aching.


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